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Janice Anderson offers a unique perspective to health care clients that is based on her extensive clinical and health care operational background (including serving on the senior executive team for a large regional health system for 14 years). She focuses her practice on corporate health care and transactional law, as well as mergers and acquisitions, hospital/physician and other joint ventures, physician relationships and contracting, and compliance.
Her areas of emphasis include:
–Advising clients on the development of health care business structures to achieve strategic goals, and structuring hospital/physician alignment strategies to improve the quality and cost effectiveness of care, including the development of clinically integrated networks and accountable care organization
–Conducting mergers and acquisitions and other health care transactions, including navigating through the myriad legal issues arising in such transactions, such as licensure, fraud and abuse, tax-exempt status, reimbursement, etc.
–Handling legal and regulatory compliance; developing and implementing corporate compliance programs for hospitals and other health care providers; and advising clients in analyzing legal/compliance issues, including enforcement risks arising from quality of care and patient safety issues
–Handling compliance issues and developing creative solutions to issues involving Stark, anti-kickback, HIPAA, EMTALA, False Claims Act, reimbursement, civil money penalty laws, etc.
–Recipient of “Leading Lawyer Award” by Ambulatory M&A Advisor, 2015
–Selected for inclusion for “Leading Women Lawyers” by Chicago Lawyer ®
–Martindale-Hubbell® Peer Review Rated
–Handled the spinoff of a Chicago-based hospital from a large national system, creating a public juridical person to preserve Catholic identity.
–For numerous clients nationally, developed many clinically integrated networks and accountable care organizations involving physicians, hospitals and post acute care providers, including obtaining approval from the Centers for Medicare & Medicaid Services for several to participate in the Medicare Shared Savings Program.
–Established a multi-state wide clinically integrated network owned by multiple large health systems.
–Developed the “Pay for Quality” model of hospital/physician alignment to financially align a broad group of medical staff members to improve a hospital’s quality of care and obtained approval by the Office of Inspector General.
–Structured numerous bundled payment arrangements, including under the CMS Bundled Payment for Care Improvement initiative.
–Handled many mergers and acquisitions involving hospitals, physician groups and post acute care providers on both the sale and buy side of the transactions.
–Formed many joint ventures between hospitals, physicians, and post acute care providers to provide ancillary services.
–Drafted, negotiated and handled implementation issues related to many service line co-management agreements, including developing incentive compensation programs and evaluating incentive metrics for regulatory compliance.
–Developed and implemented corporate compliance programs including conducting legal risk assessments and evaluating the effectiveness of the programs.
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